Provider Demographics
NPI:1851589931
Name:WADE-WILLIAMS, DORA BELL (RN)
Entity Type:Individual
Prefix:MS
First Name:DORA
Middle Name:BELL
Last Name:WADE-WILLIAMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:DORA
Other - Middle Name:WADE
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:71 DOBSON ST
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32805-1913
Mailing Address - Country:US
Mailing Address - Phone:407-293-9416
Mailing Address - Fax:
Practice Address - Street 1:71 DOBSON ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32805-1913
Practice Address - Country:US
Practice Address - Phone:407-293-9416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-14
Last Update Date:2007-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 1381262163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health